Senior Specialist, Process Improvement (SIU)
New
O
OscarHealth insurance
This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories.Full-TimeSenior
SalaryThe base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $75,348 - $98,894 per year. The base pay for this role in all other locations is: $67,813 - $89,005 per year.
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Job Details
- Experience
- 2+ years experience in a technical role or a process improvement role; 2+ years of experience working with large data sets using Excel or a database language; 1+ years experience deriving business insights from datasets and solving problems; 1+ years experience improving business workflows and processes; 1+ years experience collaborating with internal and/or external stakeholders.
- Required Skills
- Project ManagementSQLData AnalysisMicrosoft ExcelProcess improvement
Requirements
- Have a bachelor's degree or 4+ years of commensurate experience.
- Bring 2+ years of experience in a technical role, such as QA analyst, project manager, operations analyst, finance, consulting, or industrial engineering, or in a process improvement role such as Six Sigma.
- Have 2+ years of experience working with large data sets using Excel or a database language.
- Have 1+ years of experience deriving business insights from datasets and solving problems.
- Have 1+ years of experience improving business workflows and processes.
- Have 1+ years of experience collaborating with internal and/or external stakeholders.
Responsibilities
- Conduct SIU intake, triage, and tip research, and provide rapid root cause analysis and training for escalated issues.
- Identify operational risks with leadership and investigate and resolve issues to inform technology-driven solutions.
- Scope, prioritize, and deliver solutions based on internal and external partner feedback about adverse claim outcomes.
- Use data analysis tools to produce quantitative insights and translate findings into detailed technical business requirements.
- Use partner submissions, data mining, and process monitoring to identify and address systemic improvement opportunities.
- Maintain accurate records under retention policies and keep files securely stored and accessible.
- Coordinate projects to meet service level agreements and milestones while supporting financial discipline, quality, and continuous improvement.
- Partner with leadership and cross-functional teams on cost reduction, improved outcomes, and compliant operations.
- Keep stakeholders informed of project progress, status updates, and blockers.
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